Dr. Jean S Cannon, Psy.D.
Psychologist, Clinical in Lancaster, PA. Individual provider (NPI-1).
NPI number1104874445
StatusActive
Last updated in NPPESMar 17, 2011
Details
- NPI
- 1104874445
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jean S Cannon
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 5, 2006
- Last updated
- Mar 17, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PS015850 | PA | Yes |
Other names
- Jean Elizabeth Stevens (Former Name)
Practice location
1681 Crown AveSuite 11
Lancaster, PA 17601-6303
Phone 717-393-9388 · Fax 717-393-9389
Mailing address
1681 Crown AveSuite 11
Lancaster, PA 17601-6303
Phone 717-393-9388 · Fax 717-393-9389
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